| Code | Description | Claims | Beneficiaries | Total Paid |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
2,496 |
2,358 |
$140K |
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
1,208 |
1,059 |
$48K |
| 99396 |
Periodic comprehensive preventive medicine reevaluation, established patient, 40-64 years |
16 |
16 |
$1K |
| 99490 |
Ccm add 20min |
108 |
107 |
$1K |
| 93000 |
|
148 |
147 |
$1K |
| 87635 |
Infectious agent detection by nucleic acid; SARS-CoV-2 (COVID-19), amplified probe |
21 |
20 |
$800.58 |
| 90688 |
|
70 |
70 |
$674.02 |
| 94060 |
|
27 |
27 |
$627.03 |
| 36415 |
Collection of venous blood by venipuncture |
648 |
636 |
$359.16 |
| G0008 |
Administration of influenza virus vaccine |
12 |
12 |
$16.79 |
| 99429 |
|
77 |
67 |
$0.00 |